Healthcare Provider Details

I. General information

NPI: 1528547023
Provider Name (Legal Business Name): COLLIN MICHAEL MORGAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1819 WOOD ST
WHEELING WV
26003-3607
US

IV. Provider business mailing address

1819 WOOD ST
WHEELING WV
26003-3607
US

V. Phone/Fax

Practice location:
  • Phone: 304-234-3500
  • Fax:
Mailing address:
  • Phone: 304-234-3500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: